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19 HCC

Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers

CMS Model V28 68 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 19)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC19 2026 + 1.563
CFD HCC19 2026 + 1.661
CNA HCC19 2026 + 1.798
CND HCC19 2026 + 1.989
CPA HCC19 2026 + 1.520
CPD HCC19 2026 + 1.554
INS HCC19 2026 + 0.957

Mapped ICD-10-CM Diagnoses (68)

The following diagnoses map directly to HCC 19 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
C45.0 Mesothelioma of pleura Notes ↗
C45.1 Mesothelioma of peritoneum Notes ↗
C45.2 Mesothelioma of pericardium Notes ↗
C45.7 Mesothelioma of other sites Notes ↗
C45.9 Mesothelioma, unspecified Notes ↗
C84.40 Peripheral T-cell lymphoma, not elsewhere classified, unspecified site Notes ↗
C84.41 Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of head, face, and neck Notes ↗
C84.42 Peripheral T-cell lymphoma, not elsewhere classified, intrathoracic lymph nodes Notes ↗
C84.43 Peripheral T-cell lymphoma, not elsewhere classified, intra-abdominal lymph nodes Notes ↗
C84.44 Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of axilla and upper limb Notes ↗
C84.45 Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of inguinal region and lower limb Notes ↗
C84.46 Peripheral T-cell lymphoma, not elsewhere classified, intrapelvic lymph nodes Notes ↗
C84.47 Peripheral T-cell lymphoma, not elsewhere classified, spleen Notes ↗
C84.48 Peripheral T-cell lymphoma, not elsewhere classified, lymph nodes of multiple sites Notes ↗
C84.49 Peripheral T-cell lymphoma, not elsewhere classified, extranodal and solid organ sites Notes ↗
C84.4A Peripheral T-cell lymphoma, not elsewhere classified, in remission Notes ↗
C84.70 Anaplastic large cell lymphoma, ALK-negative, unspecified site Notes ↗
C84.71 Anaplastic large cell lymphoma, ALK-negative, lymph nodes of head, face, and neck Notes ↗
C84.72 Anaplastic large cell lymphoma, ALK-negative, intrathoracic lymph nodes Notes ↗
C84.73 Anaplastic large cell lymphoma, ALK-negative, intra-abdominal lymph nodes Notes ↗
C84.74 Anaplastic large cell lymphoma, ALK-negative, lymph nodes of axilla and upper limb Notes ↗
C84.75 Anaplastic large cell lymphoma, ALK-negative, lymph nodes of inguinal region and lower limb Notes ↗
C84.76 Anaplastic large cell lymphoma, ALK-negative, intrapelvic lymph nodes Notes ↗
C84.77 Anaplastic large cell lymphoma, ALK-negative, spleen Notes ↗
C84.78 Anaplastic large cell lymphoma, ALK-negative, lymph nodes of multiple sites Notes ↗
C84.79 Anaplastic large cell lymphoma, ALK-negative, extranodal and solid organ sites Notes ↗
C84.7A Anaplastic large cell lymphoma, ALK-negative, breast Notes ↗
C84.7B Anaplastic large cell lymphoma, ALK-negative, in remission Notes ↗
C86.30 Subcutaneous panniculitis-like T-cell lymphoma not having achieved remission Notes ↗
C86.31 Subcutaneous panniculitis-like T-cell lymphoma, in remission Notes ↗
C86.40 Blastic NK-cell lymphoma not having achieved remission Notes ↗
C86.41 Blastic NK-cell lymphoma, in remission Notes ↗
C86.50 Angioimmunoblastic T-cell lymphoma not having achieved remission Notes ↗
C86.51 Angioimmunoblastic T-cell lymphoma, in remission Notes ↗
C90.00 Multiple myeloma not having achieved remission Notes ↗
C90.01 Multiple myeloma in remission Notes ↗
C90.02 Multiple myeloma in relapse Notes ↗
C90.10 Plasma cell leukemia not having achieved remission Notes ↗
C90.11 Plasma cell leukemia in remission Notes ↗
C90.12 Plasma cell leukemia in relapse Notes ↗
C90.20 Extramedullary plasmacytoma not having achieved remission Notes ↗
C90.21 Extramedullary plasmacytoma in remission Notes ↗
C90.22 Extramedullary plasmacytoma in relapse Notes ↗
C90.30 Solitary plasmacytoma not having achieved remission Notes ↗
C90.31 Solitary plasmacytoma in remission Notes ↗
C90.32 Solitary plasmacytoma in relapse Notes ↗
C91.30 Prolymphocytic leukemia of B-cell type not having achieved remission Notes ↗
C91.31 Prolymphocytic leukemia of B-cell type, in remission Notes ↗
C91.32 Prolymphocytic leukemia of B-cell type, in relapse Notes ↗
C91.50 Adult T-cell lymphoma/leukemia (HTLV-1-associated) not having achieved remission Notes ↗
C91.51 Adult T-cell lymphoma/leukemia (HTLV-1-associated), in remission Notes ↗
C91.52 Adult T-cell lymphoma/leukemia (HTLV-1-associated), in relapse Notes ↗
C91.60 Prolymphocytic leukemia of T-cell type not having achieved remission Notes ↗
C91.61 Prolymphocytic leukemia of T-cell type, in remission Notes ↗
C91.62 Prolymphocytic leukemia of T-cell type, in relapse Notes ↗
C94.6 Myelodysplastic disease, not elsewhere classified Notes ↗
D46.0 Refractory anemia without ring sideroblasts, so stated Notes ↗
D46.1 Refractory anemia with ring sideroblasts Notes ↗
D46.20 Refractory anemia with excess of blasts, unspecified Notes ↗
D46.21 Refractory anemia with excess of blasts 1 Notes ↗
D46.4 Refractory anemia, unspecified Notes ↗
D46.9 Myelodysplastic syndrome, unspecified Notes ↗
D46.A Refractory cytopenia with multilineage dysplasia Notes ↗
D46.B Refractory cytopenia with multilineage dysplasia and ring sideroblasts Notes ↗
D46.C Myelodysplastic syndrome with isolated del(5q) chromosomal abnormality Notes ↗
D46.Z Other myelodysplastic syndromes Notes ↗
D47.4 Osteomyelofibrosis Notes ↗
D75.81 Myelofibrosis Notes ↗
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